| NPI | 1538421094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: ID M-13784) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: MT MED-PHYS-COM-LIC-147) |
| 208D00000X General Practice (Licence: MT MED-PHYS-COM-LIC-147) | |
| 208D00000X General Practice (Licence: ID M-13784) | |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2025-02-11 |